ClinicalTrials.gg
RecruitingNCT06431932Fisetin HIGHUpdated May 19, 2026

Pilot Trial of Fisetin in Healthy Volunteers and Older Patients With Multimorbidity

A Phase 1/2 interventional study of Fisetin and Placebo in Multimorbidity and Healthy, sponsored by Ove Andersen. Recruiting at 1 site in Denmark. Open to participants aged 20 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-19.

Sponsored by Ove Andersen · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

The accumulation of senescent cells with age is a central mechanism that contributes to the development of chronic diseases, primarily by driving systemic chronic inflammation. Senolytic compounds such as fisetin can selectively target senescent cells for elimination and reduce multiple age-related pathologies in animal models.

We will conduct a clinical trial in healthy volunteers and older patients with multiple chronic diseases. The participants will receive fisetin or placebo for two days, after which they will be examined at regular intervals for up to three months. We will investigate how fisetin is absorbed and metabolized by the body, and whether fisetin is safe. We will also identify methods to best measure the effect of fisetin on chronic inflammation, senescent cells, and general health.

Read the detailed description

The goal of this pilot trial is to conduct a controlled clinical study to gather data on the pharmacokinetic profile of fisetin and its metabolites and on the safety and tolerability of fisetin in healthy volunteers as well as in older medical patients. Furthermore, we aim to identify potential outcome measures and perform sample size calculations for these outcomes, with the intent to conduct a larger scale effect study, at later date, given the result from this pilot study suggests that this would be feasible and safe.

The trial consists of:

  • a single-arm open-label study, in which healthy volunteers (n=20) will receive fisetin corresponding to 20 mg/kg/day for two consecutive days.
  • a 2-arm triple-blind randomized placebo-controlled study, in which older medical patients (n=40) will receive either:

    • 20 mg/kg/day fisetin for two consecutive days, or
    • placebo for two consecutive days.

Each of the studies (open-label study and randomized placebo-controlled study) consists of three sub-studies:

  • Sub-study I aims to investigate the pharmacokinetic properties of fisetin and its main metabolites following oral administration at a dose of 20 mg/kg/day in healthy volunteers and in older medical patients.
  • Sub-study II aims to assess the safety and tolerability of oral treatment with fisetin at a dose of 20 mg/kg/day fisetin for two consecutive days in healthy volunteers and in older medical patients.
  • Sub-study III aims to gather representative measurements to assess the utility of inflammation, SASP, senescence, senolysis, and aging biomarkers, as well as measures of frailty, clinical parameters, physical and cognitive function, and quality of life as potential outcomes in future clinical trials; additionally, to perform sample size calculations for future trials based on these data.
02

Conditions studied

  • Multimorbidity
  • Healthy

Keywords

  • Senolytic
  • Pharmacokinetics
  • Chronic inflammation
03

In context

Lead sponsor

Ove Andersen is the lead sponsor of 9 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Healthy volunteers:

Inclusion Criteria:

  • Aged 20-35 years
  • suPAR levels \<3.5 ng/mL (± 15% corresponding to assay variation)
  • Able to cooperate cognitively
  • Able to read and understand Danish
  • Women of must use effective

Exclusion Criteria:

  • Body weight >100 kg
  • Inability to swallow pills
  • Pregnant and/or lactating
  • Known or allergy to fisetin or in the placebo capsules
  • Presence of any condition that the investigator believes would put the subject at risk or would preclude the participant from successfully completing all aspects of the trial
  • Presence of known chronic diagnosis
  • Active acute illness
  • Prescribed medication, except contraceptives
  • Previous cancer diagnosis or treatment
  • Use of senolytic and other "anti-aging" supplements

Older patients with multimorbidity:

Inclusion Criteria:

At screening #1 during hospital admission:

  • Acutely hospitalized medical patient
  • Age ≥65 years
  • suPAR >5 ng/mL (± 15% corresponding to assay variation)
  • Multimorbidity (≥2 chronic diagnoses)
  • Able to cooperate cognitively
  • Able to read and understand Danish

At screening #2 28 days after hospital discharge:

  • suPAR >5 ng/mL (± 15% corresponding to assay variation)

Exclusion Criteria:

At screening #1 during hospital admission:

  • Body weight >100 kg
  • Inability to swallow pills
  • Known infection, active or C infection, invasive fungal infection
  • Uncontrolled (as per clinical judgment) pleural/pericardial effusions or ascites
  • New/active invasive cancer except non-melanoma skin cancers
  • Active cancer treatment or disseminated cancer
  • Known condition associated with major immunodeficiency
  • Known hypersensitivity or allergy to fisetin or excipients in the placebo capsules
  • Use of senolytic and other "anti-aging" supplements

At screening #2 28 days after hospital discharge:

  • Body weight >100 kg
  • CRP >30 mg/L (± 15% corresponding to assay variation)
  • Inability to swallow pills
  • Presence of any condition, or abnormal routine biochemistry test, that the investigator believes would put the subject at risk or would preclude the patient from successfully completing all aspects of the trial
  • Unstable (as per clinical judgment) major disorders, e.g., cardiovascular, renal, endocrine, immunological, hepatic disorder, or cancer
  • Estimated (eGFR) \<15 ml/min/1.73 m2 or as per clinical judgment (e.g., risk of acute kidney injury)
  • Human immunodeficiency virus infection, known active hepatitis B or C infection, invasive fungal infection
  • Uncontrolled (as per clinical judgment) pleural/pericardial effusions or ascites
  • New/active invasive cancer except non-melanoma skin cancers
  • Active cancer treatment or disseminated cancer
  • Known condition associated with major immunodeficiency
  • Known hypersensitivity or allergy to fisetin or excipients in the placebo capsules
  • Subjects taking strong inhibitors or inducers of or as per clinical judgment
  • Subjects taking specified substrates with a narrow therapeutic range for CYP3A4 or as per clinical judgment
  • Subjects taking specified inhibitors, inducers, or substrates of CYP2D6, CYP2C9, or CYP2C8, or as per clinical judgment
  • Subjects regularly using drug classes or specific medications or as per clinical judgment
  • Use of senolytic and other "anti-aging" supplements
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Single-arm open-label study in healthy volunteers

    Healthy volunteers will receive fisetin.

    Drug: Fisetin

  • Experimental
    RCT - Treatment group

    Older patients with multimorbidity will receive fisetin.

    Drug: Fisetin

  • Placebo comparator
    RCT - Placebo group

    Older patients with multimorbidity will receive placebo.

    Drug: Placebo

Interventions

  • Subjects will receive fisetin corresponding to 20 mg/kg/day for two consecutive days.

  • DrugPlacebo

    Subjects will receive a corresponding number of placebo capsules for two consecutive days.

06

What researchers measure

Primary outcomes

  1. Population-based pharmacokinetic model for fisetin and metabolites

    To develop a population-based pharmacokinetic (popPK) model for fisetin and its main metabolites in healthy volunteers and older patients, covariates such as body weight, body composition, age, and CYP inducers/inhibitors will be tested for influence on interindividual variability.

    Time frame: 24 hours

  2. Adverse events

    Number of participants to experience adverse events

    Time frame: Day 1 to 3

  3. suPAR

    The change in plasma levels of suPAR and a sample size calculation based on these data.

    Time frame: Day 1 to 29

Secondary outcomes

  1. Population-based PKPD model for fisetin

    Changes in any of the measured biomarkers and the relationship between the pharmacokinetics and pharmacodynamics of fisetin will be investigated using population PKPD modeling.

    Time frame: 24 hours

  2. Renal excretion of fisetin and its main metabolites

    Urinary levels of fisetin and its main metabolites

    Time frame: 24 hours

  3. Symptoms and adverse events

    Number of participants to experience symptoms and clinically significant changes in vital signs (i.e., blood pressure, pulse).

    Time frame: Day 1 to 3

  4. SASP factors and inflammation markers

    The change in plasma levels of SASP factors and inflammation markers (e.g., cytokines, chemokines, proteases, growth factors).

    Time frame: Healthy volunteers: day 1, 2, 29. Older patients: day 1, 2, 8, 15, 29, 57, 84.

  5. Senescence

    The change in expression levels of senescence markers (e.g., p16INK4a, p21CIP1/WAF1, SA-B-gal) in immune cells and tissue biopsies (skin and adipose tissue).

    Time frame: Healthy volunteers: day 1, 29. Older patients: day 1, 8, 15, 29, 84.

  6. Senolysis

    The change in expression levels of senolysis markers (e.g., leukotriene B4, dihomo-15d-PGJ2 (oxylipin or 1a,1b-dihomo-15-deoxy-D12,14-prostaglandin J2), and 15-Deoxy-delta 12, 14-prostaglandin J2).

    Time frame: Healthy volunteers: day 1, 2, 29. Older patients: day 1, 2, 8, 15, 29, 84.

  7. Aging markers

    The change in plasma levels of aging markers (e.g., α-klotho, fibroblast growth factor 21).

    Time frame: Healthy volunteers: day 1, 2, 29. Older patients: day 1, 2, 8, 15, 29, 57, 84.

  8. Clinical markers

    The change in levels of routine biochemistry markers (e.g., alanine aminotransferase, albumin, alkaline phosphatase, bilirubin, blood urea nitrogen, coagulation factors II, VII and X and International Normalized Ratio, CRP, creatinine, hemoglobin, lactate dehydrogenase, mean corpuscular hemoglobin concentration, mean corpuscular volume, neutrophils, potassium, sodium, thrombocytes, white blood cell count, cholesterol (total, low-density lipoproteins, high-density lipoproteins), triglycerides, and hemoglobin A1c).

    Time frame: Healthy volunteers: day 1, 2, 29. Older patients: day 1, 2, 8, 15, 29, 57, 84.

  9. Frailty Index OutRef

    The change in frailty status calculated as Frailty Index OutREF (FI-OutRef).

    Time frame: Healthy volunteers: day 1, 29. Older patients: day 1, 2, 8, 15, 29, 57, 84.

  10. Frailty Index

    The change in frailty status calculated using a modified version of Fried frailty criteria.

    Time frame: Healthy volunteers: day 1, 29. Older patients: day 1, 2, 8, 15, 29, 57, 84.

  11. Physical function

    The change in physical function (e.g., gait speed, hand grip strength, chair stand test, balance).

    Time frame: Healthy volunteers: day 1, 29. Older patients: day 1, 29, 84.

  12. Cognitive function (Montreal Cogntive Assessment)

    The change in cognitive function assessed using the MoCA score (0-30 with higher scores representing better cognitive function).

    Time frame: Healthy volunteers: day 1, 29. Older patients: day 1, 29, 84.

  13. Cognitive function (Digit Symbol Substitution Test)

    The change in cognitive function assessed using the Digit Symbol Substitution Test (number of correct symbols).

    Time frame: Healthy volunteers: day 1, 29. Older patients: day 1, 29, 84.

  14. Quality of life

    The change in quality of life assessed using the EuroQol-5D-5L (index value and VAS scale 0-100; with higher scores representing better quality of life).

    Time frame: Healthy volunteers: day 1, 29. Older patients: day 1, 29, 84.

  15. Self-rated health

    The change in self-rated health (score 1-5; 1:"excellent", 2:"very good", 3:"good", 4:"fair", or 5:"bad").

    Time frame: Healthy volunteers: day 1, 29. Older patients: day 1, 29, 84.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — Only aggregated data can be available for other researchers due to Danish Data Protection Law.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2026 (actual). Primary completion is estimated for Dec 2028, 33 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
May 15, 2024
First posted
May 29, 2024
StartActual
Mar 24, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2028
Last update
May 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06431932
Lead sponsor
Ove Andersen
Responsible party
Ove Andersen (Head of Research, Clinical Professor, Principal Investigator, Hvidovre University Hospital) — Sponsor-investigator
First posted
May 29, 2024
Start date
Mar 24, 2026
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
May 19, 2026

Study contacts

Juliette Tavenier
Contact
juliette.tavenier@regionh.dk
+4538620640
Line Jee Hartmann Rasmussen
Contact
line.jee.hartmann.rasmussen@regionh.dk
+4538620640
Juliette Tavenier
study chair · Copenhagen University Hospital, Amager and Hvidovre
Line Jee Hartmann Rasmussen
study chair · Copenhagen University Hospital, Amager and Hvidovre
Morten B Houlind
study chair · Copenhagen University Hospital, Amager and Hvidovre
Ove Andersen
principal investigator · Copenhagen University Hospital, Amager and Hvidovre
Jan O Nehlin
study chair · Copenhagen University Hospital, Amager and Hvidovre

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Fisetin

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